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ludc webb

Nuno Dias

Adjunct professor

ludc webb

Steerable sheath for exclusively femoral bilateral extension of previous fenestrated endovascular aneurysm repair with iliac branch devices

Author

  • Roberta Vaccarino
  • Angelos Karelis
  • Björn Sonesson
  • Nuno Dias

Summary, in English

We report the treatment of type Ib endoleak after fenestrated endovascular aneurysm repair (FEVAR) with iliac branch device (IBD) to allow exclusive transfemoral access without a femoral-to-femoral through-and-through wire. The patient was treated with fenestrated endovascular aneurysm repair and showed expansion of the aneurysm owing to a type Ib endoleak. An IBD was implanted by the use of a contralateral steerable sheath for internal iliac artery catheterizing. A computed tomography scan showed the patency of the target vessels and resolution of the endoleak. The use of a steerable sheath without femoral-to-femoral through-and-through wire to bridge the internal iliac artery in patients receiving an IBD after prior EVAR is feasible and avoids the risks associated with upper extremity access.

Department/s

  • Vascular Diseases - Clinical Research

Publishing year

2021-04-24

Language

English

Pages

322-325

Publication/Series

Journal of Vascular Surgery Cases and Innovative Techniques

Document type

Journal article

Publisher

Elsevier

Topic

  • Surgery
  • Cardiac and Cardiovascular Systems

Keywords

  • Endovascular aneurysm repair
  • Branched stent graft
  • Contralateral approach
  • emoral access
  • Iliac branch device

Status

Published

Research group

  • Vascular Diseases - Clinical Research

ISBN/ISSN/Other

  • ISSN: 2468-4287